First Light Asset Management, LLC

In its 13F for Q4 2024 (holdings as of December 31, 2024, filed February 14, 2025), First Light Asset Management, LLC reported 36 stock positions worth $1.0 billion. Its top holding was Paragon 28 (FNA) at 10.5% of the portfolio, followed by Centessa Pharmaceuticals (CNTA, 9.3%) and Axogen (AXGN, 7.1%). Compared with Q3 2024, it opened 9 new positions, sold out of 11, added to 9 and reduced 18. The biggest buy was a new position in Twist Bioscience (TWST) and the biggest sale Evolent Health Class A (EVH, shares −98%).

Most Recent 13F
Q2 2026
Location
Edina, MN
CIK
0001600004
Portfolio Value
$1.0B (Q4 2024)
SEC Filing
0001839882-25-009258 ↗ filed Feb 14, 2025

Holdings Value

0$500.0M$1.0B$1.5B$2.0B Q1 2024: $1.3B Q1 2024 Q2 2024: $1.1B Q2 2024 Q3 2024: $1.2B Q3 2024 Q4 2024: $1.0B $1.0B Q4 2024 Q1 2025: $875.7M Q1 2025 Q2 2025: $771.3M Q2 2025 Q3 2025: $1.1B Q3 2025 Q4 2025: $1.3B Q4 2025 Q1 2026: $1.1B Q1 2026 Q2 2026: $1.6B Q2 2026

Holdings 36 stocks · $1.0B

FNA Paragon 28 Inc. 10.46% 10,580,467 $109.3M Add +4.2%
CNTA Centessa Pharmaceuticals Ltd. 9.30% 5,805,184 $97.2M Reduce -2.3%
AXGN Axogen Inc. 7.11% 4,506,795 $74.3M Add +10.2%
ATRC Atricure Inc. 5.76% 1,969,221 $60.2M Add +5.6%
TWST Twist Bioscience Corp. 5.45% 1,226,255 $57.0M New
VERA Vera Therapeutics Inc. 5.10% 1,261,246 $53.3M Add +78.8%
NEO Neogenomics Inc. 4.99% 3,167,585 $52.2M Add +3.0%
XENE Xenon Pharmaceuticals Inc. 4.35% 1,160,580 $45.5M Reduce -1.8%
CRNX Crinetics Pharmaceuticals Inc. 4.33% 885,453 $45.3M Reduce -6.2%
IRTC Irhythm Holdings Inc. 3.71% 430,500 $38.8M New
HCAT Health Catalyst Inc. 3.55% 5,241,121 $37.1M Add +22.0%
PHLT Performant Healthcare Inc. 3.28% 11,346,649 $34.3M Add +1.2%
INSM Insmed Inc. 3.11% 470,192 $32.5M Reduce -31.8%
MDXG Mimedx Group Inc. 3.08% 3,343,861 $32.2M New
RARE Ultragenyx Pharmaceutical Inc. 3.07% 763,607 $32.1M Add +1.1%
KRMD Koru Medical Systems Inc. 2.18% 5,915,434 $22.8M Add +5.7%
PLRX Pliant Therapeutics Inc. 2.12% 1,681,110 $22.1M Reduce -34.7%
EWTX Edgewise Therapeutics Inc. 1.99% 780,639 $20.8M New
JANX Janux Therapeutics Inc. 1.61% 313,782 $16.8M New
SIBN Si-Bone Inc. 1.53% 1,136,982 $15.9M Reduce -25.5%
KYMR Kymera Therapeutics Inc. 1.48% 383,310 $15.4M Reduce -5.7%
NTRA Natera Inc. 1.41% 93,088 $14.7M Reduce -49.7%
BFLY Butterfly Network Inc. 1.19% 3,994,620 $12.5M New
RGEN Repligen Corp. 1.14% 82,455 $11.9M Reduce -50.3%
ANAB Anaptysbio Inc. 1.10% 868,882 $11.5M Reduce -8.4%
GPCR Structure Therapeutics Inc. 1.03% 398,855 $10.8M Reduce -21.2%
TNDM Tandem Diabetes Care Inc. 1.01% 292,117 $10.5M Reduce -71.5%
DYN Dyne Therapeutics Inc. 0.95% 420,431 $9.9M Reduce -66.6%
ELDN Eledon Pharmaceuticals Inc. 0.92% 2,328,768 $9.6M New
GH Guardant Health Inc. 0.90% 309,389 $9.5M Reduce -52.3%
PODD Insulet Corp. 0.84% 33,821 $8.8M Reduce -78.7%
TMDX Transmedics Group Inc. 0.83% 139,757 $8.7M Reduce -47.4%
OSCR Oscar Health Inc. Class A 0.70% 546,822 $7.3M Reduce -69.0%
SENS Senseonics Holdings Inc. 0.32% 6,431,799 $3.4M New
EVH Evolent Health Inc. Class A 0.06% 53,620 $603K Reduce -97.7%
IWO iShares Russell 2000 Growth 0.03% 1,208 $348K New

Portfolio Sells Q3 2024 → Q4 2024

EVH Evolent Health Inc. Class A Reduce -97.7% 0.06% −5.35
DYN Dyne Therapeutics Inc. Reduce -66.6% 0.95% −2.81
TMDX Transmedics Group Inc. Reduce -47.4% 0.83% −2.64
CDMO Avid Bioservices Inc. Sold out 0.00% −2.62
TNDM Tandem Diabetes Care Inc. Reduce -71.5% 1.01% −2.61
OSCR Oscar Health Inc. Class A Reduce -69.0% 0.70% −2.41
PODD Insulet Corp. Reduce -78.7% 0.84% −2.24
BCYC Bicycle Therapeutics PLC-ADR Sold out 0.00% −1.82
ANAB Anaptysbio Inc. Reduce -8.4% 1.10% −1.54
OPRX Optimizerx Corp. Sold out 0.00% −1.16
INSM Insmed Inc. Reduce -31.8% 3.11% −1.08
RGEN Repligen Corp. Reduce -50.3% 1.14% −0.92
RLAY Relay Therapeutics Inc. Sold out 0.00% −0.91
GPCR Structure Therapeutics Inc. Reduce -21.2% 1.03% −0.81
AVTR Avantor Inc. Sold out 0.00% −0.77
MOH Molina Healthcare Inc. Sold out 0.00% −0.76
ASND Ascendis Pharma A/S Sold out 0.00% −0.64
NARI Inari Medical Inc. Sold out 0.00% −0.60
NTRA Natera Inc. Reduce -49.7% 1.41% −0.54
EXAS Exact Sciences Corp. Sold out 0.00% −0.39
GH Guardant Health Inc. Reduce -52.3% 0.90% −0.33
PLRX Pliant Therapeutics Inc. Reduce -34.7% 2.12% −0.28
SIBN Si-Bone Inc. Reduce -25.5% 1.53% −0.25
KYMR Kymera Therapeutics Inc. Reduce -5.7% 1.48% −0.12
ATEC Alphatec Holdings Inc. Sold out 0.00% −0.06
SONENDO INC Sold out 0.00% −0.02
CRNX Crinetics Pharmaceuticals Inc. Reduce -6.2% 4.33% +0.32
XENE Xenon Pharmaceuticals Inc. Reduce -1.8% 4.35% +0.48
CNTA Centessa Pharmaceuticals Ltd. Reduce -2.3% 9.30% +1.40

Portfolio Buys Q3 2024 → Q4 2024

TWST Twist Bioscience Corp. New 5.45% +5.45
FNA Paragon 28 Inc. Add +4.2% 10.46% +4.81
IRTC Irhythm Holdings Inc. New 3.71% +3.71
MDXG Mimedx Group Inc. New 3.08% +3.08
VERA Vera Therapeutics Inc. Add +78.8% 5.10% +2.51
AXGN Axogen Inc. Add +10.2% 7.11% +2.34
EWTX Edgewise Therapeutics Inc. New 1.99% +1.99
JANX Janux Therapeutics Inc. New 1.61% +1.61
ATRC Atricure Inc. Add +5.6% 5.76% +1.41
NEO Neogenomics Inc. Add +3.0% 4.99% +1.22
BFLY Butterfly Network Inc. New 1.19% +1.19
ELDN Eledon Pharmaceuticals Inc. New 0.92% +0.92
KRMD Koru Medical Systems Inc. Add +5.7% 2.18% +0.91
HCAT Health Catalyst Inc. Add +22.0% 3.55% +0.64
SENS Senseonics Holdings Inc. New 0.32% +0.32
IWO iShares Russell 2000 Growth New 0.03% +0.03
PHLT Performant Healthcare Inc. Add +1.2% 3.28% −0.21
RARE Ultragenyx Pharmaceutical Inc. Add +1.1% 3.07% −0.42

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 31$1.6BNEO, SIBN, AXGN, APGE, PVLA
Q1 2026 35$1.1BAXGN, PVLA, NEO, SIBN, CNTA
Q4 2025 33$1.3BAXGN, NEO, SIBN, PVLA, CNTA
Q3 2025 41$1.1BAXGN, PHLT, CNTA, NEO, AMLX
Q2 2025 38$771.3MANAB, CNTA, PHLT, NEO, AXGN
Q1 2025 37$875.7MANAB, AXGN, CNTA, NEO, TWST
Q4 2024 36$1.0BFNA, CNTA, AXGN, ATRC, TWST
Q3 2024 38$1.2BCNTA, FNA, EVH, AXGN, ATRC
Q2 2024 44$1.1BFNA, ATEC, CRNX, NEO, XENE
Q1 2024 50$1.3BCRNX, ATEC, NTRA, XENE, PLRX